MAT GEORGIA, LLC
NPI 1356797666
Internal Medicine - Addiction Medicine in Marietta, GA

Active since May 05, 2016
335 ROSELANE ST NW, SUITE 203, MARIETTA, GA 30060(818) 212-4659 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mat Georgia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAT GEORGIA, LLC (NPI 1356797666) is a healthcare organization registered as an addiction medicine in Marietta, Georgia and active in the NPI registry since May 2016. The organization lists Victor Alfonso, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356797666
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NameMAT GEORGIA, LLC
Location Address335 ROSELANE ST NW, SUITE 203Marietta, GA 30060-7902
Mailing Address1290 Kennestone Cir, Suite A112Marietta, GA 30066-6009
Organization SubpartNo
Authorized OfficialVictor AlfonsoCeo · (818) 212-4659
Enumeration DateMay 5, 2016
NPI 1356797666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
335 ROSELANE ST NW, Marietta, GA 30060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
335 ROSELANE ST NW, SUITE 201
MARIETTA, GA 30060
Physical Medicine & Rehabilitation (Pain Medicine)
335 ROSELANE ST NW
MARIETTA, GA 30060
Clinic/Center (Rehabilitation)
335 ROSELANE ST NW, SUITE 201
MARIETTA, GA 30060
Nurse Practitioner (Family)
335 ROSELANE ST NW
MARIETTA, GA 30060
Physical Therapist
335 ROSELANE ST NW
MARIETTA, GA 30060
Physical Therapist
335 ROSELANE ST NW, STE. 201
MARIETTA, GA 30060
Physical Therapist
335 ROSELANE ST NW, SUITE 201
MARIETTA, GA 30060
Physical Medicine & Rehabilitation (Pain Medicine)
335 ROSELANE ST NW
MARIETTA, GA 30060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mat Georgia, LLC's NPI number?

The NPI number for Mat Georgia, LLC is 1356797666. It was assigned to this organization in the NPPES registry on May 5, 2016.

Where is Mat Georgia, LLC located?

Mat Georgia, LLC is located at 335 Roselane St NW Suite 203, Marietta, GA 30060. The listed phone number is (818) 212-4659.

What is Mat Georgia, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Mat Georgia, LLC was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.